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1033115878
CARLA MARIE BRODERICK
LOUISVILLE, KY
NPI
1033115878
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Former Name
CARLA M HOLDE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: KY 3002744)
Enumeration Date
2005-06-27
Last Update Date
2023-01-25
Business Address
CARLA MARIE BRODERICK APRN
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Phone number: 502-774-8631
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Mailing Address
CARLA MARIE BRODERICK APRN
PO BOX 950244
LOUISVILLE, KY 40295-0244
Phone number: 502-953-4700
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